Award Nomination Form

Our next awards ceremony will be held at the 2023 State Convention Awards Luncheon on May 6, 2023 in Eugene.

Nominations must be received by March 31, 2023.
Nominations are confidential; the person making the nomination will not be revealed unless the nominee is selected.
At least one (1) letter of support must be submitted by someone other than the nominator. Multiple letters of support and/or other independent documentation of the nominee’s accomplishments will significantly strengthen a nomination.
The selection committee reserves the right to change the category of any nomination in order to better match the nomination criteria.
When a nominee is selected for an award The Arc Oregon will contact the nominator to coordinate notification to the winner.

Awards

Educator of the Year
Employer of the Year
Good Neighbor of the Year
Youth of the Year
Volunteer of the Year
Sarolty Nagy Award: Self-Advocate of the Year
Al Soenneker Award: Professional of the Year
Sylvia Mann Capper Memorial Award: Statewide Impact in the IDD Field

Award Nomination Form

Award Category *

Nominee Information

Nominee's Name *

Name of company being nominated. Enter the contact person's name below.

Nominee's Name *

First Name

Last *

Last Name

Address *

Address

City

State/Province

Zip/Postal

Address

Primary Phone Number *

Alternate Phone Number

Employer

Job Title

Nominator Information

Name *

First Name

Last *

Last Name

Relationship to Nominee *

Organization / Agency

If nomination is being made by the organization rather than an individual person

Job Title

Address *

Address

City

State/Province

Zip/Postal

Address

Primary Phone Number *

Alternate Phone Number

Email *

Are you interested in presenting the award at the Awards Luncheon?

Yes

Not sure

Nomination

Tell us why you are nominating this person or organization for this award. Please be specific and provide examples of their impact. *

You may submit up to 5 supporting documents such as letters of support, work samples, newspaper articles or other items to support their nomination. You MUST submit at least one (1) letter of support from someone other than you. *

Maximum file size: 4.19MB

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Awards

Nominee Information

Nominator Information

Nomination

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Awards

Nominee Information

Nominator Information

Nomination

ABOUT US

OUR WORK

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— Registration Free for self-advocates —

— lodging and travel assistance available —

2024 Self-advocate Convention of Oregon

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